61. Congenital complement deficiencies are best screened by which of the following laboratory tests:
A. Quantitative immunoglobulins
B. NBT
C. Total CH50
D. C3, C4 and properdin
E. Flow Cytometry
Ans: C
62. All of the following except one can be useful in managing atopic dermatitis:
A. Skin lubrication/moisturization
B. Controlling pruitus to reduce scratching
C. Immunotherapy (allergy injections)
D. Avoiding specific food allergy triggers
E. Topical therapy with steroid or non-steroid immune modulating agent(pimecolimus, tacrolimus)
Ans: C
63. All of the following regarding aspirin intolerance are true except:
A. Patients with asthma are at no greater risk for aspirin intolerance than the general population
B. A proposed mechanism of aspirin intolerance involves aspirin’s effect on arachidonic acid metabolism
C. There is cross reactivity between aspirin and NSAID intolerance
D. Aspirin desensitization may be of benefit in a patient with aspirin intolerance who requires the drug
E. Leukotriene modifiers are particularly beneficial in most patients
Ans: A
64. Which of the following tests would be most useful in helping to diagnose asthma:
A. Diffusing capacity
B. Pre and post bronchodilator FEV1
C. Arterial blood gases
D. Pulmonary functions pre- and post-methacholine challenge
E. B and D
Ans: E
65. Conditions which may worsen asthma include (Identify the one incorrect choice):
A. Diabetes Mellitus
B. Sinusitis
C. Pregnancy
D. Cardiac disease
E. Gastro-esophageal reflux
Ans: A
66. Which of the following is the most common underlying cause of asthma
(Choose the one best answer):
A. Beta Blocker sensitivity
B. Aspirin sensitivity
C. Bronchitis
D. Sinusitis
E. Inhalant allergies
Ans: E
67. Inhaled corticosteroids (Choose the one incorrect answer):
A. Can be useful in patients who have persistent asthma
B. Can be useful in patients who require rescue inhaler 1-2 times per week
C. Can be used in 6-12 year-old children with asthma
D. Acutely increase peak flow rate, a measure of large airway function
E. Reduce airway hyper-reactivity
Ans: D
68. A 40-year-old male presents to the Emergency Room complaining of hives,wheezing and difficulty breathing following an insect sting. Pulse is 120 beats/min.BP is 100/56. Immediate therapy should include which one of the following:
A. Diphenhydramine 50 mg IV
B. Methylprednisolone 100 mg IV
C. Epinephrine 0.3 ml (1:1000 aqueous) sub Q or IM
D. Cholorpheniramine 8 mg orally
E. None of the above
Ans: C
69. A 40-year-old male presents to the Emergency Room complaining of hives, wheezing and difficulty breathing following an insect sting. Pulse is 120 beats/min. BP is 100/56. After Epinephrine is administered and quick assessment of the patient is done, you determine that the patient is moving air adequately and is not in shock. The next medication to give the patient immediately is:
A. Diphenhydramine 50 mg IV
B. Methylprednisolone 100 mg IV
C. Epinephrine 0.3 ml (1:1000 aqueous) sub Q or IM
D. Cholorpheniramine 8 mg orally
E. None of the above
Ans: B
70. Which of the following symptoms is least common in patients with sinusitis?
A. Nasal congestion
B. Cough
C. Fever
D. “Post-nasal” drip
E. Mucopurulent rhinorrhea
Ans: B
A. Quantitative immunoglobulins
B. NBT
C. Total CH50
D. C3, C4 and properdin
E. Flow Cytometry
Ans: C
62. All of the following except one can be useful in managing atopic dermatitis:
A. Skin lubrication/moisturization
B. Controlling pruitus to reduce scratching
C. Immunotherapy (allergy injections)
D. Avoiding specific food allergy triggers
E. Topical therapy with steroid or non-steroid immune modulating agent(pimecolimus, tacrolimus)
Ans: C
63. All of the following regarding aspirin intolerance are true except:
A. Patients with asthma are at no greater risk for aspirin intolerance than the general population
B. A proposed mechanism of aspirin intolerance involves aspirin’s effect on arachidonic acid metabolism
C. There is cross reactivity between aspirin and NSAID intolerance
D. Aspirin desensitization may be of benefit in a patient with aspirin intolerance who requires the drug
E. Leukotriene modifiers are particularly beneficial in most patients
Ans: A
64. Which of the following tests would be most useful in helping to diagnose asthma:
A. Diffusing capacity
B. Pre and post bronchodilator FEV1
C. Arterial blood gases
D. Pulmonary functions pre- and post-methacholine challenge
E. B and D
Ans: E
65. Conditions which may worsen asthma include (Identify the one incorrect choice):
A. Diabetes Mellitus
B. Sinusitis
C. Pregnancy
D. Cardiac disease
E. Gastro-esophageal reflux
Ans: A
66. Which of the following is the most common underlying cause of asthma
(Choose the one best answer):
A. Beta Blocker sensitivity
B. Aspirin sensitivity
C. Bronchitis
D. Sinusitis
E. Inhalant allergies
Ans: E
67. Inhaled corticosteroids (Choose the one incorrect answer):
A. Can be useful in patients who have persistent asthma
B. Can be useful in patients who require rescue inhaler 1-2 times per week
C. Can be used in 6-12 year-old children with asthma
D. Acutely increase peak flow rate, a measure of large airway function
E. Reduce airway hyper-reactivity
Ans: D
68. A 40-year-old male presents to the Emergency Room complaining of hives,wheezing and difficulty breathing following an insect sting. Pulse is 120 beats/min.BP is 100/56. Immediate therapy should include which one of the following:
A. Diphenhydramine 50 mg IV
B. Methylprednisolone 100 mg IV
C. Epinephrine 0.3 ml (1:1000 aqueous) sub Q or IM
D. Cholorpheniramine 8 mg orally
E. None of the above
Ans: C
69. A 40-year-old male presents to the Emergency Room complaining of hives, wheezing and difficulty breathing following an insect sting. Pulse is 120 beats/min. BP is 100/56. After Epinephrine is administered and quick assessment of the patient is done, you determine that the patient is moving air adequately and is not in shock. The next medication to give the patient immediately is:
A. Diphenhydramine 50 mg IV
B. Methylprednisolone 100 mg IV
C. Epinephrine 0.3 ml (1:1000 aqueous) sub Q or IM
D. Cholorpheniramine 8 mg orally
E. None of the above
Ans: B
70. Which of the following symptoms is least common in patients with sinusitis?
A. Nasal congestion
B. Cough
C. Fever
D. “Post-nasal” drip
E. Mucopurulent rhinorrhea
Ans: B
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